Plans could still use strategies other than prior authorization reviews to cut down on unnecessary use of care.

David Feinberg, SVP of Risk & Insurance at Justworks, discusses how successful small businesses are navigating this landscape, the strategies that are delivering real results (versus mere industry ...

"We expect that only 60,000 additional jobs are needed in a typical month to keep the unemployment rate steady, a relatively low hurdle," Adam Schickling, a senior U.S. economist at Vanguard, said in ...

Judge Quraishi ruled that the connection between premiums paid by plan participants and out-of-pocket costs and the administrative fees the plans paid to their pharmacy benefit manager was ...

A new report from The Institutional Retirement Income Council (IRIC) says 2026 will be a pivotal year for the defined contribution industry transitioning from increasing interest in retirement income ...

The U.S. Government alleged that CVS improperly requested and received GHP reimbursement for premature refills, dispensed excessive insulin pens, and falsely under-reported the days-of-supply of ...

Workers who face "dependent-related job lock" are much more likley than other workers to have health problems of their own.

Bill Cassidy says the American Medical Association charges too much for use of CPT procedure codes and may not get enough input on the codes.

Last month, the Treasury Department and the IRS issued joint final regulations, answering many looming questions after the proposed regulations were issued.

Only 6 in 10 employees feel satisfied with their benefit offerings, compared to two-thirds in the previous year.

Far too many people who need obesity treatments still face cost and coverage barriers,” said Ilya Yuffa, executive vice president of Lilly USA.

Sen. Edward J. Markey's proposals include financial literacy resources, expanded peer support programs, access to respite care, and medically tailored meals.